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S e p t e m b e r 0 6 - 0 7 , 2 0 1 8 | B a n g k o k , T h a i l a n d
Global Women Health 2018 & Orthopedics Congress 2018
Note:
Page 17
alliedacademies
BREAST CANCER, GYNECOLOGY AND WOMEN HEALTH
ORTHOPEDICS AND RHEUMATOLOGY
&
World Congress on
Annual Conference on
Joint Event on
Archives of General Internal Medicine | ISSN: 2591-7951 | Volume 2
Engin Eren Desteli, Arch Gen Intern Med 2018, Volume 2 | DOI: 10.4066/2591-7951-C3-007
CIRCULAR TYPE EXTERNAL FIXATOR -AS-
SISTED ACUTE FEMORAL DEFORMITY COR-
RECTION AND SUBSEQUENT LENGTHENING
OVER AN INTRAMEDULLARY NAIL: CASE
REPORT
Background: Intramedullar nails can be used together with external fixators
in treatment of deformity correction. In the case presented here, femoral
malunion with 90 degrees external rotation deformity together with shortness
of the affected limb is corrected using these two methods together.
Methods: The patient presented with a malunion at subtrochanteric region
of femur, an external rotation deformity of 90 degrees and 2 cm shortness of
the affected limb. A uni-lateral external fixator was applied under fluoroscopy.
An osteotomy was made by applying the multiple drill-hole technique under
fluoroscopy of the metaphyseal area in the femoral distal supracondylar region
and the prepared nail was placed in the medullar canal. An intramedullar guide
was placed within the intramedullar canal retrograde from the intercondylar
notch. The uni-lateral fixator was then removed and previously prepared
circular type external fixator was fixed to the femur. On postoperative day 10
distraction was started at the rae of 4x0.25 mm/day.
Results: Satisfactory deformity correction and limb lengthening was achieved.
Conclusion: Acute correction of the deformity and gradual correction of the
limb length discrepancy can be achieved with combined treatment along with
fewer complications.
Biography
Engin Eren Desteli has completed his PhD at Hac-
ettepe University, Turkey. He is MD of Orthopedics
at Uskudar Hospital, Istanbul. He has over 50 pub-
lications that have been cited over 70 times. He
has been serving as an Editorial Member at two
medical journals. He has written chapters in some
orthopedic and Traumatology textbooks such as
‘Basic Techniques for Extremity Reconstruction’ by
Springer.
Engin Eren Desteli
Uskudar Hospital, Turkey